| |
133 Highland Dr Ste A Lebanon VA 24266-7209 | |
(276) 889-7621 | |
(276) 889-7695 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 133 Highland Dr Ste A, Lebanon, Virginia |
Authorized Official Name and Position | Reisa Sloce (COO) |
Authorized Official Contact | 2768897621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2347 Lebanon VA 24266-2347 Ph: (276) 889-7621 | 133 Highland Dr Ste A Lebanon VA 24266-7209 Ph: (276) 889-7621 |
NPI Number | 1649231044 |
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Provider Enumeration Date | 03/28/2006 |
Last Update Date | 09/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649231044 | NPI | - | NPPES |
370009595 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Secondary |
Family Health Care Associates Of Swva.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 W Main St, Lebanon, VA 24266 Phone: 276-889-2394 Fax: 276-889-4716 | |
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Highpower, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Price St, Lebanon, VA 24266 Phone: 276-395-3938 |